Individual
NIDA NAQVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1006 N SPENCER LN, BLOOMFIELD NEW MEXICO, BLOOMFIELD, NM 87413-6411
(505) 801-2017
(123) 456-6788
Mailing address
H# 81/A ST # 06 DHOKE MISTRIAN TENCH BHATTA, RAWALPINDI, PUNJAB 46000
092515519867
00123333333
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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